Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $3,162.28 / $9,332.54	Facility		$281.84	$3,162.28	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $8,511.38 / $8,709.64 / $11,748.98	Facility	50	$8,511.38	$8,709.64	$11,748.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $302.00 / $645.65	Professional		$177.83	$302.00	$645.65
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $177.83 / $501.19 / $1,047.13	Professional	50	$177.83	$501.19	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $263.03 / $741.31	Professional		$208.93	$263.03	$741.31
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $309.03 / $398.11 / $1,122.02	Professional	50	$309.03	$398.11	$1,122.02
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $1,258.93 / $4,073.80	Facility		$234.42	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $1,819.70 / $53,703.18	Facility		$281.84	$1,819.70	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $457.09 / $1,122.02	Professional		$190.55	$457.09	$1,122.02
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $234.42 / $549.54	Facility		$169.82	$234.42	$549.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $537.03	Professional		$275.42	$371.54	$537.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $323.59 / $524.81	Professional		$229.09	$323.59	$524.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,754.23 / $2,884.03	Facility		$1,949.84	$2,754.23	$2,884.03
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $9,120.11 / $9,120.11 / $9,120.11	Facility	50	$9,120.11	$9,120.11	$9,120.11
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $50,118.72 / $75,857.76	Facility		$208.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $371.54 / $537.03	Professional		$295.12	$371.54	$537.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,467.37 / $7,244.36	Facility		$1,862.09	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $295.12 / $707.95	Professional		$147.91	$295.12	$707.95
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $724.44	Facility		$134.90	$181.97	$724.44
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $616.60	Professional		$204.17	$309.03	$616.60

New York rates for HCPCS 31238